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Medical thesis on narcolepsy
Narcolepsy research paper essay
Research paper about narcolepsy disorder
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Analysis of Article Narcolepsy by Jerome M. Siegel
In his article “Narcolepsy,” Jerome M. Siegel discusses the disease and its possible causes. To begin with, Siegel defines the symptoms and problems associated with the disease. Moreover, he states what exactly the disease is, his research into its causes and effects on the nervous system, and the possibility that the narcolepsy may be an autoimmune disease.
The symptoms of narcolepsy include cataplexy, persistent daytime sleepiness, sleep paralysis, and hypnagogic hallucinations. Cataplexy is “a loss of skeletal muscle tone without loss of consciousness” (77). These cataplectic attacks often occur at emotional times. Such events could be laughter, sexual intercourse, physical exertion, and anger. Daytime sleepiness can make narcoleptics fall asleep at inappropriate times and although they may be refreshed after naps they are soon tired after. Sleep paralysis is the inability to move prior to falling asleep or waking. Finally, hypnagogic hallucinations are vivid dreams before sleep or when extremely tired.
Siegel then describes the two different types of sleep as non-REM and REM sleep. During non-REM sleep “the muscles are relaxed but maintain some tone, breathing is regular, the cerebral cortex generates high-voltage waves, and consumption of energy by the brain is minimal” (77). A person experiencing REM sleep, however, has irregular breathing and heart rate, the cerebral cortex generates waves almost like those seen in a waking state, rapid eye movements, high brain metabolism, lack of all muscle tone, and dreams occur. Normally people enter into non-REM sleep immediately upon falling asleep; however, narcoleptics enter into REM sleep first. This causes narcoleptics t...
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... helps to peak one’s interest in the topic of narcolepsy. Furthermore, Siegel did not make the article to be overly scientifically based so that understanding the concepts was uncomplicated. Siegels’ information, on the other hand, does not entirely match that found in the Carlson text as it states that narcolepsy is a genetic disorder. Additionally Carlson states that a study showed that many narcoleptic patients lacked orexin in their cerebral spinal fluid. This lack of correspondence causes each source to be put into question. Both sources provide evidence to back their claims, however, so it is obvious that further research is essential to our understanding of narcolepsy.
Bibliography:
References
1. Siegel, J.M. (2000, January) Narcolepsy. Scientific American, 282(1), 76-81
2. Carlson, Neil R. Physiology of Behavior 7TH Edition. Allyn & Bacon. 2001
the surface structure of these poems appears simplistic, but subtle changes in tone or gesture move the reader from the mundane to the sublime. In an attempt to sleep, the speaker in "Insomnia" moves from counting sheep to envisioning Noah's arc to picturing "all the fish in creation/ leaping a fence in a field of water,/ one colorful species after another." Collins will tackle any topic: his subject matter varies from snow days to Aristotle to forgetfulness. Collins relies heavily on imagery, which becomes the cornerstone of the entire volume, and his range of diction brings such a polish to these poems
THESIS STATEMENT: Narcolepsy is a sleep disorder that has a specific medical definition, life-changing symptoms, and there are ways in how people treat it.
Chronic sleep loss is becoming more common in modern culture and less restricted to sleep-deprived diseases such as insomnia. Suggested to be the result of a number car, industrial, medical, and other occupational accidents, sleep deprivation is beginning to be recognized as a public concern. As a result, the Centers for Disease Control
Millions of people suffer from the same tossing and turning every which way, getting their sheets all disarranged and their minds abundantly worse. Patients often report indications of insomnia while sitting in the family health clinic. Insomnia traits include hindrance, falling asleep, continuing to awaken, and rejuvenating before wanted. One may suffer from insomnia if one shows signs of an increased difficulty in attentiveness, decreased communal or scholastic skills, and a diminished mood or enthusiasm. Foldvary-Schaefer 111.
We live our entire life in two states, sleep and awake1. These two states are characterized by two distinct behaviors. For instance, the brain demonstrates a well-defined activity during non-REM sleep (nREM) that is different when we are awake. In the study of sleep by Huber et. al., the authors stated that sleep is in fact a global state2. It is unclear whether this statement means that sleep is a state of global behavioural inactivity or the state of the global nervous system. The notion that sleep is a global state of the nervous system served as basis for sleep researchers to search for a sleep switch. The discovery of the sleep switch, in return, provided evidence and enhanced the notion that sleep is a global state of the nervous system. The switch hypothesis developed from the fact that sleep can be initiated without fatigue and it is reversible1. It was hypothesized that there is something in the brain that has the ability to control the whole brain and initiate sleep. Studies have found a good candidate that demonstrated this ability3. They found a group of neurons in the Ventrolateral Preoptic (VLPO) nucleus. It was a good candidate because it was active during sleep, has neuronal output that can influence the wakefulness pathway, and lesion in the area followed reduce sleep3. The idea that there is something that can control the whole brain and result sleep state supports the idea that sleep is a global state of the nervous system.
Narcolepsy has been above looked for years beforehand knowing a patient has the illness, it is a quickly producing awareness and is continually altering people and their families lives. With nap materializing to be not merely the ultimate pastime, but additionally a survival imperative, the earth of nap scutiny is quite large, bragging countless disparate spans of study. By scrutinizing phenomena like nap disorders neurobiologists can yearn to comprehend the mechanisms of normative nap, in supplement to perfecting treatment for suffers. Narcolepsy is one such disorder that affects an approximated 250, 000 or 1 in 2000 Americans; comparable numbers are approximated for Parkinson's or countless sclerosis (mayo-foundation). An comprehensive, nevertheless oftentimes misdiagnosed illness (fewer than 50, 000 are cognizant of their condition), narcolepsy can be delineated by chronic daytime sleepiness, cataplexy, nap paralysis, and hypanogic hallucinations (rare-disease). The last three of the tetrad of symptoms additionally transpire in non-narcoleptic individuals; nap episodes are the main determinant in diagnosis. Merely 20 to 25 percent of narcoleptics tolerate from all four symptoms (mayo-foundation). This paper has countless goals, all of that involve elucidating the illness and its symptoms in disparate contexts. In order to do this nap will main be elucidated in a slight detail, pursued by a biological and psychological treatment of narcolepsy. Scutiny of narcolepsy and its implications for the upcoming displays steps to be grabbed in order to garner a larger understanding this particular brain/behavior relationship.
Unfortunately the referral letter was not available at the time of review however I gather the reason for referral is that Kori has been suffering with sleep onset insomnia and unrefreshing sleep. He usually retires to bed at 10.30pm but will generally not be able to sleep for at least an hour. On occasions he will then listen to some soft music and then make another attempt to fall asleep. Often he does not fall asleep until 1.30am to 2.00am. There is no history or snoring, witness apnoeas or nocturnal choking episodes but Kori's sleep is fragmented but there is no sleep maintenance insomnia. He reports general restless but no specific restless legs symptoms as such. When he awakes at 7.00am, he consistently feels unfreshed and he is aware of some daytime somnolence although the Epworth Sleepiness score is normal at 7/24. Kori has never experienced a microsleep when driving. He avoids daytime naps and he does not regularly consume caffeine. There are no features to suggest narcolepsy.
Kales, A. (1972). The evaluation and treatment of sleep disorders : Pharmacological and psychological studies. In M. Chase (ed.)The Sleeping Brain. Los Angeles : Brain Information Service.
Exploringn a Neurobiological Theory of Dreaming Neurobiological theory of dreaming focuses on the brain and the nervous system. The activation synthesis theory which is one of the theories put forward by Hobson and Mcarley (1998) said sleep is controlled by mechanism in the brainstem. When activated this inhibits activity in the skeletal muscles and increases activity in the forebrain. This theory seems dreaming as an automatic part of the sleep process that may have no significance beyond the need to organize the material into coherent forms. Hobson points out that injection of a drug that increases the action of acetylcholine both increases REM sleep and dreaming.
Sleep paralysis is a condition that occurs at either the onset or upon awakening of sleep. The medical terms for the two forms of sleep paralysis are hypnogogic and hypnopompic (1). When a person falls asleep, the body secretes hormones that relax certain muscles within the body, causing it to go into paralysis. Doing this prevents the body from acting out a person's dream, which could result in an injury. Sleep paralysis generally runs within one's family or in those who suffer from narcolepsy (2), but there is currently no explanation for why some people get it while others do not.
the sleeper will gradually descend deeper into sleep, becoming more and more detached from the outside world and progressively more difficult to awaken. Stage three is the beginning of deep sleep, occurring about thirty to forty five minutes after you first fall asleep. The deepest sleep occurs in Stage four. Stage three and four has the biggest and slowest brain wave. REM sleep, a mentally active period during which dreaming occurs, provided a biological explanation for this phenomenon. Scientists found that brain activity during REM sleep begins in the pons, a structure in the brainstem, and neighboring midbrain regions. The pons sends signals to the thalamus and to the cerebral cortex, which is responsible for most thought processes. There are several myths about sleep. For one, how much sleep a person should get? According to our text book people should sleep for at least eight hours to maintain sound mental and physical health. But every one doesn’t get the chance to sleep for that amount of time. There is no normal amount of time you should sleep. Everyone is not the same. For one I might sleep for five hours and feel refreshed enough to work another shift. Other hand my cousin might need more then eight hours of sleep to feel refreshed.
Sleeping is something that is an essential part of human nature and is a must in order for one to be a functional human being. Sleep is an idea that is accompanied by many wives’ tales, including the idea that one needs seven to eight hours of sleep each night and alcohol helps one fall asleep and sleep more soundly. One myth about sleep is that during sleep, one is in a state of nothingness. In truth, however, it has been discovered that during sleep the brain is active, variations in heartbeat and breathing occur, and the eyes and ears are active throughout the time of sleep. These activities during a person’s sleep are important because they help that person be more aware, awake, and alert during sleep.
The symptoms of sleep paralysis are often associated with REM sleep. This is because during REM sleep, except for the diaphragm, we are more or less paralyzed from the neck down as we dream (Regestein 30). It is when we enter this dream world or exit we can become a victim of sleep paralysis. Sleep paralysis at the onset of nap was well described by a patient of Edward Binns, a physician writing in the 1850s, about what he termed “day-mares” (Mendelson 223):
In this paper, it is focused on the basics of fatal familial insomnia (FFI) which is an autosomal dominant condition and the researchers of this paper were specifically focusing on the molecular genetics of the condition. The typical age for the condition to develop is between 48 -59 and as of when this study was published 15 families with no relations have been identified to have this ailment. Some general symptoms of this condition are that the patient is unable to pay attention without one sort of stimulus. In some extreme cases for this condition, it can result in death due to the patient going into a vegetative state for days to months. Some other symptoms that have been reported are Grand Mal seizures or uncontrollable jerking of limbs
We experience two phases of sleep which repeat themselves every ninety to one hundred and ten minutes, achieving approximately five complete cycles per night. The phases are non- rapi...